Provider Demographics
NPI:1780201350
Name:BATTAGLIA, JUSTINE (PHARM D)
Entity Type:Individual
Prefix:
First Name:JUSTINE
Middle Name:
Last Name:BATTAGLIA
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81 TELEGRAPH RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLEPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14105-9638
Mailing Address - Country:US
Mailing Address - Phone:716-735-3261
Mailing Address - Fax:716-735-3351
Practice Address - Street 1:81 TELEGRAPH RD
Practice Address - Street 2:
Practice Address - City:MIDDLEPORT
Practice Address - State:NY
Practice Address - Zip Code:14105-9638
Practice Address - Country:US
Practice Address - Phone:716-735-3261
Practice Address - Fax:716-735-3351
Is Sole Proprietor?:No
Enumeration Date:2020-06-30
Last Update Date:2020-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY066284183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist